Mayo Clinic's approach

Kidney transplant consultation at Mayo Clinic Kidney transplant consultation

Kidney transplant consultation at Mayo Clinic

Teamwork

At Mayo Clinic, an integrated team of doctors trained in kidney disease (nephrologists), abdominal transplant surgery, infectious disease management and other specialties is focused on the needs of you and your family. Surgeons, doctors, transplant nurses, pharmacists, social workers and others work together to manage every aspect of your kidney transplant, from planning through post-surgical care.

Health care professionals trained in many medical specialties work together as a team to ensure favorable outcomes from your kidney transplant. Care team roles

Health care professionals trained in many medical specialties work together as a team to ensure favorable outcomes from your kidney transplant.

Coordinated care

Having all of this subspecialized expertise in a single place, focused on you, means that you're not just getting one opinion — your care is discussed among the team, your test results are available quickly, appointments are scheduled in coordination and your transplant care team works together to determine what's best for you.

Surgical expertise

Mayo Clinic surgeons perform more than 600 kidney transplants a year, including numerous complex surgical procedures at campuses in Arizona, Florida and Minnesota. As a three-site institution, Mayo Clinic has one of the largest living-donor kidney transplant and paired kidney donor programs in the United States.

Our experts have pioneered many procedures, including living-donor kidney transplants and kidney transplant before dialysis is needed. The Mayo Clinic kidney transplant team has extensive experience in the most complex types of kidney transplantation, including ABO incompatible, positive crossmatch and paired donation kidney transplants.

Health History Questionnaire

Interested in being a living kidney or liver donor? Start the process by completing a Health History Questionnaire.

Pediatric kidney transplant surgery is also provided to children at Mayo Clinic in Rochester, Minn., and Scottsdale/Phoenix, Ariz.

Mayo Clinic also offers kidney transplants to select candidates with hepatitis B and C and treated HIV.

Kidney transplant outcomes at Mayo Clinic compare favorably with the national average.

Research

Researchers at Mayo Clinic are actively engaged in developing new technologies, treatments and techniques to make transplants safer and available to more people.

Mayo Clinic researchers were part of a major U.S. study that pioneered a new pre-transplant immune system treatment to expand the use of incompatible living-donor kidney transplants — an innovation that means less time on dialysis waiting for a perfect match for many people whose immune systems previously wouldn't tolerate a living-donor kidney.

At Mayo Clinic, you may have access to ongoing clinical trials, research and new treatments.

Nationally recognized expertise

Mayo Clinic in Rochester, Minn., has been recognized as the best Nephrology hospital in the nation for 2017-2018 by U.S. News & World Report.

Mayo Clinic in Rochester, Minn., ranks No. 1 for diabetes and endocrinology in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Scottsdale, Ariz., is ranked highly performing for diabetes and endocrinology by U.S. News & World Report.

The Mayo Clinic experience and patient stories

Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of their visits mean health care like they've never experienced. See the stories of satisfied Mayo Clinic patients.

  1. Kidney Transplant Opens the Door to Lanell Johnson's Next Adventure

    Lanell Johnson's path to a kidney transplant wasn't easy. But now that she's received a new kidney and is enjoying a return to good health, Lanell and her husband are eager to move forward. Lanell Johnson takes pride in what she calls her battle scars ? the result of her long journey to a successful [...]

  2. 'Lobby Days' Offer Life-Changing Information About Kidney Transplants

    After enduring kidney dialysis for years, a conversation Martin Ruiz Zerme?o had at his dialysis center with Mayo Clinic social worker Jeffrey Welch paved the way to a successful kidney transplant. Martin Ruiz Zerme?o's home was melancholy. "When you don't feel well, there's sadness at home," he says. Stealing joy from Martin's life was kidney [...]

  3. Liver and Kidney Transplants Revive Ron Hale's Zest for Life

    A host of serious medical problems put Ron Hale on a downward spiral of deteriorating health. But a liver and a kidney transplant at Mayo Clinic stopped Ron's decline and dramatically improved his quality of life. Diagnosed with cirrhosis in March 2013, Ron Hale spent several long years coping with declining health and frequent hospitalizations. [...]

  4. Bring Him Now: Transplant Teams Bring Together 'Mayo Clinic at Its Finest' For Young Patient

    When 4-year-old Maksim Messerer's kidney function declined suddenly and unexpectedly, surgical staff from across Mayo Clinic quickly came together to perform his kidney transplant several weeks ahead of schedule. New Year's Eve is supposed to be a time of celebration and hope. But for Jeremiah and Rachael Messerer, Dec. 31, 2014, was anything but celebratory. [...]

  5. Living-Donor Kidney Transplant Cements Brothers' Bond

    Always close growing up, a successful kidney donation and transplant strengthened the connection between siblings Jim Von Holtum and Greg Vaske. Jim Von Holtum is the third-youngest child, and the youngest boy, in a mixed family of eight brothers and sisters. His half-brother Greg Vaske was already 13 years old when his baby brother was [...]

  6. In Need of a Second Transplant, Remy Marceau Fights On

    Four years after receiving a life-saving transplant, Remy Marceau was devastated when his body rejected the new kidney. Today he's using humor and hope to buoy his spirits as he waits for another transplant. Remy Marceau of Phoenix never expected to look back with such fondness on the four years after he received a life-saving [...]

  7. Random Chat With a Stranger Leads to a Second Chance at Life

    ? When John Branson struck up a conversation with Edgar Roberts, the two had no way of knowing their chance meeting would motivate John to become Edgar's kidney donor. But that's exactly what happened. Today, Edgar is enjoying renewed health, thanks to John's generosity. John Branson has saved many a life during his 28 years [...]

  8. Jennifer's Long Journey to a Kidney Transplant Leads to Renewed Health

    After waiting more than a decade for a kidney transplant and enduring a host of health challenges in the meantime, Jennifer Longoria finally received a new kidney, and a new opportunity for a healthy life, at Mayo Clinic. Jennifer Longoria was once told by her doctor that she was "a walking miracle who should be [...]

  9. Two-Time Kidney Transplant Recipient Builds a Life-Giving Legacy

    Years of health challenges that led to two kidney transplants motivated Ed Pompeian to establish the Gift of Life Transplant House, where people navigating their own transplants receive lodging, along with plenty of support and encouragement. Since he was 12 years old, Ed Pompeian's life has been shaped by the state of his kidney. You [...]

  10. Paired Kidney Donation Opens the Door to a More Active, Independent Life for Kathy Allen

    From Kathy Allen?s point of view, paired organ donation just may be the ultimate in generosity. Deciding to donate a kidney to someone you don?t know in a paired exchange can trigger a chain of matches that gives several people the opportunity for a renewed life. ?I can?t thank the donors enough for their selflessness,? [...]

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Expertise and rankings

Kidney transplant interdisciplinary teamwork at Mayo Clinic Kidney transplant interdisciplinary team

Kidney transplant interdisciplinary teamwork at Mayo Clinic

Experience

Mayo Clinic kidney transplant surgeons have performed more than 7,000 procedures using state-of-the-art technology since performing their first kidney transplant in 1963.

Each year, Mayo Clinic surgeons perform more than 600 kidney transplants, including numerous complex surgical procedures at campuses in Arizona, Florida and Minnesota.

The Mayo Clinic kidney transplant team has extensive experience in the most complex types of kidney transplantation, including ABO incompatible, positive crossmatch and paired donation kidney transplants.

As a three-site institution, Mayo Clinic has one of the largest living-donor kidney transplant programs in the United States.

Innovation and research

Mayo Clinic transplant researchers take a leading role in efforts to find new, improved ways to conduct all aspects of transplantation, expanding the availability of transplants, reducing risks and improving the outcomes of transplantation.

Our experts have pioneered many procedures, including living-donor kidney transplants and kidney transplant before dialysis is needed.

The Mayo Clinic Transplant Center supports many studies for kidney transplant research.

Kidney transplant research at Mayo Clinic Kidney transplant research at Mayo Clinic

Nationally recognized expertise

Kidney transplant outcomes at Mayo Clinic compare favorably with the national average.

Mayo Clinic in Rochester, Minn., has been recognized as the best Nephrology hospital in the nation for 2017-2018 by U.S. News & World Report.

Mayo Clinic in Rochester, Minn., ranks No. 1 for diabetes and endocrinology in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Scottsdale, Ariz., is ranked highly performing for diabetes and endocrinology by U.S. News & World Report.

Volumes and outcomes

 

Mayo Clinic doctors' experience and integrated team approach results in transplant outcomes that compare favorably with national averages. Teams work with transplant recipients before, during and after surgery to ensure the greatest likelihood of superior results.

Volumes and statistics are maintained separately for the three Mayo Clinic locations. Taken together or separately, transplant recipients at Mayo Clinic enjoy excellent results.

Locations, travel and lodging

Mayo Clinic Transplant Center offers care and housing for transplant patients and their families in Arizona, Florida and Minnesota.

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Kidney transplant costs and insurance information

Mayo Clinic has dedicated transplant financial services representatives and social workers who can assist you with insurance and financial questions regarding your transplant.

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people. In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals or may have additional requirements for certain medical care. Many insurance companies require you to get preapproval authorization prior to transplant services.

Insurance information

Before your transplant, it's important that you work closely with your insurance company to understand your benefit plan. You'll be responsible for any of your transplant and medical care costs not covered by your insurance company.

You may want to ask your insurance company several questions regarding your transplant expenses, including:

  • What is the specific coverage of my plan? What are my deductibles, coinsurance, copayments, lifetime maximum amount and annual maximum amounts for both medical care and transplant services?
  • Does my plan have a pre-existing or waiting period clause? If so, what is the time frame? Can this be waived?
  • Does my plan include pharmacy coverage? If so, will my plan cover my current medications and immunosuppressant medications?
  • Does my plan require any special approvals for evaluation or transplant? How long does the approval process take once submitted to insurance?
  • Does my plan cover my transportation and lodging expenses during my transplant care?
  • Does my current insurance require enrollment in Medicare when eligible?
  • Does my insurance follow Medicare Coordination of Benefits guidelines?
  • How will my current coverage change after enrolling in Medicare? Will my plan become a supplemental or secondary plan?

If your plan is a Medicare supplement, ask questions including:

  • Does my plan follow Medicare guidelines?
  • Does my plan cover Medicare Part A and B deductible and coinsurance?
  • Does my plan have a pre-existing or waiting period? If so, what is the time frame?
  • Does my plan offer an option for Medicare Part D coverage?

Other expenses

Please plan for other expenses that may occur related to your transplant, which may include follow-up medical appointments, long-term medications, caregiver expenses, travel, parking, lodging and other expenses.

For international patients

Mayo Clinic has dedicated international patient account representatives who can assist you with questions regarding your costs and insurance. Read more about international financial services.

Case managers

Mayo Clinic financial staff will work closely with your case managers from your insurance company. Your case manager, who is assigned to you, is available to answer questions and calls related to your insurance costs.

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.

March 22, 2018
References
  1. Wein AJ, et al., eds. Renal transplantation. Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. https://www.clinicalkey.com. Accessed April 7, 2016.
  2. Partnering with your transplant team: The patient's guide to transplantation. United Network for Organ Sharing. https://www.unos.org/wp-content/uploads/unos/WEPNTK.pdf. Accessed March 11, 2016.
  3. Treatment methods for kidney failure: Transplantation. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/KUDiseases/pubs/transplant/index.aspx. Accessed March 11, 2016.
  4. U.S. Department of Health and Human Resources. Organ matching. http://www.organdonor.gov/about/organmatching.html. Accessed April 7, 2016.
  5. The kidneys and how they work. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/KUDiseases/pubs/yourkidneys/index.aspx. Accessed March 11, 2016.
  6. Barbara Woodward Lips Patient Education Center. Kidney transplant. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
  7. Hart A., et al. OPTN/SRTR Annual Data Report: Kidney. American Journal of Transplantation. 2016;16:11.
  8. Brennan DC. HLA matching and graft survival in kidney transplantation. http://www.uptodate.com/home. Accessed April 8, 2016.
  9. Rossi AP, et al. Evaluation of the potential renal transplant recipient. http://www.uptodate.com/home. Accessed March 11, 2016.
  10. Klein CL, et al. HLA and ABO sensitization and desensitization in renal transplantation. http://www.uptodate.com/home. Accessed March 11, 2016.
  11. Riggin ER. Allscripts EPSi. Mayo Clinic, Rochester, Minn. April 7, 2016.
  12. Venkataraman V, et al. Dialysis issues prior to and after renal transplantation. http://www.uptodate.com/home. Accessed March 15, 2016.
  13. Rees L, et al. Overview of renal replacement therapy (RRT) for children with chronic kidney disease. http://www.uptodate.com/home. Accessed March 15, 2016.
  14. Kidney disease: causes. National Kidney Foundation. https://www.kidney.org/atoz/content/kidneydiscauses. Accessed April 7, 2016.
  15. Berns JS. Patient information: Dialysis or kidney transplantation—Which is right for me. http://www.uptodate.com/home. Accessed April 7, 2016.
  16. U.S. Department of Health and Human Resources. Organ transplantation. http://www.organdonor.gov/about/transplantationprocess.html. Accessed April 8, 2016.
  17. UNOS. Frequently asked questions about kidney transplant evaluation and listing. https://www.unos.org/wpcontent/uploads/unos/Kidney_Eval_Brochure.pdf. Accessed April 8, 2016.
  18. UNOS Transplant Living. Selecting a hospital. http://www.transplantliving.org/before-the-transplant/getting-on-the-list/selecting-a-hospital/. Accessed April 5, 2016.
  19. Living donation: Information you need to know. Transplant Living. https://www.unos.org/donation/living-donation/. Accessed March 30, 2016.
  20. Kidney transplant. National Kidney Foundation. Accessed April 8, 2016.
  21. Vella J. Risk factors for graft failure in kidney transplantation. http://www.uptodate.com/home. Accessed April 8, 2016.
  22. Preparing for the transplant. American Society of Transplantation. http://www.healthytransplant.com/health_maintenance/preparing_for_transplant.aspx. Accessed March 22, 2016.
  23. Orandi BJ, et al. Kidney transplants from incompatible live donors. New England Journal of Medicine. 2016;374:940.
  24. Stegall M. Dosing regimen of eculizumab added to conventional treatment in positive cross match living donor kidney transplant. ClinicalTrials.gov. http://clinicaltrials.gov/ct2/show/NCT00670774?term=eculizumab+and+mayo&rank=3. Accessed April 8, 2016.
  25. Heilman RL, et al. Impact of early conversion from tacrolimus to sirolimus on chronic allograft changes in kidney recipients on rapid steroid withdrawal. Transplantation. 2012;93:47.
  26. Mai ML (expert opinion). Mayo Clinic, Jacksonville, Fla. April 27, 2016.